Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.24 / $130.19 / $542.91	Facility		$84.24	$130.19	$542.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.41 / $84.24 / $109.54	Professional		$75.41	$84.24	$109.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $175.78 / $315.00 / $893.27	Facility		$175.78	$315.00	$893.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $102.73 / $196.93	Professional		$38.90	$102.73	$196.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.63 / $100.63 / $100.63	Facility		$100.63	$100.63	$100.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.10 / $124.48 / $187.70	Professional		$89.10	$124.48	$187.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $114.39 / $153.38 / $661.70	Professional		$114.39	$153.38	$661.70
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $116.64 / $118.76 / $142.43	Professional		$116.64	$118.76	$142.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $41.71 / $2,500.00	Professional		$32.34	$41.71	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $94.24 / $124.12 / $188.37	Professional		$94.24	$124.12	$188.37